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It is no secret that the healthcare industry is undergoing constant regulatory changes. The biggest transition was when the fee-for-service model was changed to the fee-for-value model. This put providers in a frenzy, as they now had to focus on
Thanks to the power of big data, healthcare organizations now have access to troves of data and analytics that can ultimately help executives make decisions that put healthcare systems on the best path forward, meet patient demand, and prepare for
In the highly regulated and fast-paced environment of healthcare, making sure your practice secures revenue and reimbursement should be top of mind. However, this task shouldn’t be needlessly difficult and time-consuming. Thankfully, revenue cycle management (RCM) support services can help
Important Information Regarding E&M Coding Changes The Centers for Medicare & Medicaid Services (CMS) recently updated the 2024 Evaluation and Management (E&M) coding changes, which healthcare providers must be aware of to correct the documentation and billing. The changes are
It would be easy to assume that you’ve recognized and maximized on each of your practice payers’ arrangements. After all, insurance companies and providers have worked in tandem for years, developing relationships that are well-understood. However, one payer group tends
If you’ve managed a medical practice for any length of time, you’ve likely run into your fair share of eligibility and prior authorization challenges. Before we jump into tactics, tricks, and best practices for helping you tackle prior authorization, let’s
Maximizing profitability and cash flow is a perpetual objective for successful medical practices. In a time of crisis, however, healthy practice revenues become even more critical. Here we review the five key steps you can learn from and implement to
Healthcare practices may be open, but it’s not business as usual. The coronavirus (COVID-19) pandemic has changed the way the world thinks and acts, and this is especially relevant in healthcare. Most practices stayed open but may have had to
In a pandemic world, where lockdowns and self-isolation mandates ebb and flow, inviting patients to rebook canceled appointments and schedule future treatments may seem daunting. As you work to re-open your practice, the question remains – how do you fill
Current Landscape Many medical practices are facing financial uncertainty as a result of the COVID-19 pandemic. Recent research cited in the Practice Pulse report reveals that while their primary focus is on caring for patients and keeping team members safe
